What is NDC 53943-422?

53943-422 is the product NDC for Discount Drug Mart Eye Drops Advanced Relief, Dextran 70 .1 g/100mL + 3 more ingredients solution/ drops, listed with the FDA by Discount Drug Mart, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Discount Drug Mart Eye Drops Advanced Relief (Dextran 70, Polyethylene glycol 400, Povidone, Tetrahydrozoline hydrochloride).

What is the active ingredient?

Dextran 70, Polyethylene glycol 400, Povidone, Tetrahydrozoline hydrochloride.

Discount Drug Mart, Inc., NDC labeler code 53943. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Discount Drug Mart Eye Drops Advanced Relief?

None: this is the only finished product listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

NDC 53943-422

NDC codes

FDA NDC Directory

Product NDC (as listed)53943-422Labeler and product segments. Claims need a package NDC.

Product NDC at billing width53943-0422Add the package segment from the table below.

Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC	11-digit (billing)	Package	Copy
53943-422-01	5394304220153943042201	1 BOTTLE, DROPPER in 1 BOX (53943-422-01) / 15 mL in 1 BOTTLE, DROPPERMarketed from Mar 19, 2023

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary): Discount Drug Mart Eye Drops Advanced Relief
Generic name (nonproprietary): dextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hydrochloride
Active ingredients: Dextran 70 — .1 g/100mLPolyethylene glycol 400 — 1 g/100mLPovidone — 1 g/100mLTetrahydrozoline hydrochloride — .05 g/100mL
Dosage form: Solution/ drops
Route: Ophthalmic
Labeler: Discount Drug Mart, Inc.NDC labeler code 53943
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 018
Marketing start: Mar 19, 2023
Listing expires: Dec 31, 2026
Other FDA classes: Increased Intravascular Volume (Physiologic effect)Osmotic Activity (Mechanism)
Identifiers: Product ID 53943-422_47451cce-a80a-9f73-e063-6394a90aa37cSPL ID 47451cce-a80a-9f73-e063-6394a90aa37cSPL set ID f75c2f84-a28c-5807-e053-6294a90a2295RxCUI 996202UNII 7SA290YK68, B697894SGQ, FZ989GH94E, 0YZT43HS7DUPC 0093351011559
Pharmacologic class: Plasma Volume Expander

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Ophthalmic products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N453943042201 followed by a unit qualifier and the quantity

Package 53943-0422-01. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective Dec 30, 2025.

Indications (excerpt from the label)

Uses relieves redness of the eye due to minor eye irritations as a lubricant to prevent further irritation or to relieve dryness of the eye

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 53943-422

What is NDC 53943-422?: 53943-422 is the product NDC for Discount Drug Mart Eye Drops Advanced Relief, Dextran 70 .1 g/100mL + 3 more ingredients solution/ drops, listed with the FDA by Discount Drug Mart, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Discount Drug Mart Eye Drops Advanced Relief (Dextran 70, Polyethylene glycol 400, Povidone, Tetrahydrozoline hydrochloride).
What is the active ingredient?: Dextran 70, Polyethylene glycol 400, Povidone, Tetrahydrozoline hydrochloride.
Who is the labeler?: Discount Drug Mart, Inc., NDC labeler code 53943. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Discount Drug Mart Eye Drops Advanced Relief?: None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?: Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under M 018

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under M 018
Product	Strength	Form · route	Labeler	Product NDC
Walgreens Eye Drops Maximum Redness Relief 15mLglycerin, naphazoline hci	Naphazoline hydrochloride .03 g/100mL; Glycerin .5 g/100mL	Solution/ dropsOphthalmic	Walgreen Company	0363-4546
Vista Gonio Eye Lubricanthypromellose ophthalmic solution	Hypromellose 2208 (100 mpa.s) 25 mg/15mL	SolutionOphthalmic	Red Wedding LLC	77790-022
Capasil Pain Relievingmenthol, methyl salicylate	Methyl salicylate 100 mg/mL; Menthol 20 mg/mL	CreamTopical	PureTek Corporation	59088-434
Rugby Eye Washwater, purified	Water 99.05 g/100mL	SolutionOphthalmic	A-S Medication Solutions	50090-7440
DG Original Eye Dropstetrahydrozoline hcl	Tetrahydrozoline hydrochloride .05 g/100mL	SolutionOphthalmic	Dolgencorp LLC	55910-363
TopCare Health Lubricant Eye Dropscarboxymethylcellulose sodium	Carboxymethylcellulose sodium .5 g/100mL	Solution/ dropsOphthalmic	Topcare Associates LLC	76162-089
VitaPhyte Lubricating Eye Dropslubricating eye drops	Carboxymethylcellulose sodium 5 mg/mL; Glycerin 3 mg/mL	SolutionOphthalmic	Guangzhou Liyan Cosmetics Technology Co., Ltd.	87770-008
VISTA Hypromellose Dry Eye Reliefhypromellose	Hypromellose 2910 (50 mpa.s) .3 g/mL	GelOphthalmic	Red Wedding LLC	77790-002
EyS Eye Washwater	Water 14.85 mL/15mL	SolutionOphthalmic	Eyes-Plus LLC	57349-220
DG Health Advanced Relief Eye Dropsdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hcl	Povidone, Unspecified 1 g/100mL + 3 more ingredients	SolutionOphthalmic	Dolgencorp LLC	55910-361
Fendall 2000 Pure Flowpurified water	Water 98.6 L/100L	LiquidOphthalmic	Honeywell Safety Products USA, Inc.	0498-0631
VISTA MEIBO TEARS Propylene Glycol 0.6% w/v Advanced Dry Eye Relief Lubricating Drops 10 mlpropylene glycol	Propylene glycol .6 g/100mL	LiquidOphthalmic	Red Wedding LLC	77790-003
VitaPhyte Lubricant Eye Dropslubricant eye drops	Carboxymethylcellulose sodium 5 mg/mL; Glycerin 3 mg/mL	SolutionOphthalmic	Guangzhou Liyan Cosmetics Technology Co., Ltd.	87770-020
DG Health Dry Eye Reliefglycerin, hypromellose, polypropylene glycol 400	Polyethylene glycol 400 1 g/100mL + 2 more ingredients	SolutionOphthalmic	Dolgencorp LLC	55910-362
Optaseglycerin	Glycerin 2 mg/mL	Solution/ dropsOphthalmic	Scope Health Inc	72972-002
Rippleglycerin, povidone	Glycerin .63 g/100mL; Povidone .25 g/100mL	Solution/ dropsOphthalmic	CorneaCare Inc	82875-003
Salinenasal	Sodium chloride 6.5 mg/mL	SprayNasal	GERI-CARE PHARMACEUTICAL CORP	57896-333
Signature Care Lubricant Eye Dropscarboxymethylcellulose sodium	Carboxymethylcellulose sodium .5 g/100mL	Solution/ dropsOphthalmic	Better Living Brands LLC	21130-705
Optaseglycerin	Glycerin 1 mg/mL	SprayOphthalmic	Scope Health Inc	72972-001
Discount Drug Mart Eye Drops Multi-Symptom Reliefpolyethylene glycol 400, tetrahydrozoline hcl, zinc sulfate	Zinc sulfate .25 g/100mL + 2 more ingredients	Solution/ dropsOphthalmic	Discount Drug Mart, Inc.	53943-490

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Discount Drug Mart Eye Drops Advanced Relief NDC 53943-422